细针穿刺活检在儿童和青少年甲状腺结节管理中的应用
Fine-needle aspiration biopsy in the management of thyroid nodules in children and adolescents.
作者信息
Al-Shaikh A, Ngan B, Daneman A, Daneman D
机构信息
Department of Endocrinology, The Hospital for Sick Children and University of Toronto, Toronto, Ontario, Canada.
出版信息
J Pediatr. 2001 Jan;138(1):140-2. doi: 10.1067/mpd.2001.109609.
We reviewed the utility of fine-needle aspiration biopsy (FNAB) in the management of thyroid nodules in 41 children and adolescents (35 girls; mean age, 13.3 years). Cytologic findings were benign in 30, malignant in 2, suspicious in 6, and insufficient in 3. The malignancy rate was 5%, with no false-negative results. Diagnostic accuracy for FNAB was 87% and inter-observer reliability was 88%. FNAB is safe and highly accurate in the evaluation of thyroid nodules in childhood.
我们回顾了细针穿刺活检（FNAB）在41例儿童和青少年（35名女孩；平均年龄13.3岁）甲状腺结节管理中的效用。细胞学检查结果为良性的有30例，恶性的有2例，可疑的有6例，不充分的有3例。恶性率为5%，无假阴性结果。FNAB的诊断准确率为87%，观察者间可靠性为88%。FNAB在儿童甲状腺结节评估中是安全且高度准确的。
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